NDC 00126-0088-02
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SODIUM FLUORIDE 1.1 % DENTAL GEL
Low
$52
Average
$74
Median
$79
High
$103
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 19 hospitals; the 90th percentile is 1.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Temple University Hospital, Inc.- Main Campus Philadelphia, PA | $47 | $57 | $34 | 59% | 22–31 | $15 – $185 |
| 2 | Temple University Hospital - Jeanes Campus Philadelphia, PA | $43 | $67 | $82 | 123% | 1–10 | $15 – $478 |
| 3 | Temple University Hospital - Fox Chase Campus Philadelphia, PA | $54 | $56 | $27 | 48% | 1–10 | $15 – $125 |
| 4 | Temple University Hospital - Northeastern Campus Philadelphia, PA | $43 | $66 | $73 | 111% | 1–10 | $15 – $400 |
| 5 | University of Iowa Health Care Medical Center Downtown Iowa City, IA | $90 | $92 | $27 | 29% | — | $24 – $128 |
| 6 | University of Iowa Health Care Medical Center Iowa City, IA | $93 | $93 | $26 | 28% | — | $35 – $128 |
| 7 | Boston Children's Hospital Boston, MA | $79 | $78 | $13 | 17% | — | $52 – $100 |
| 8 | Boston Children's Hospital Waltham, MA | $80 | $78 | $14 | 18% | — | $52 – $100 |
| 9 | Boston Children's Hospital Needham, MA | $81 | $79 | $14 | 18% | — | $52 – $100 |
| 10 | Boston Children's Hospital Dartmouth, MA | $81 | $79 | $14 | 18% | — | $52 – $100 |
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